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General NPI Number Information
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NPI Number | 1083238745
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Entity Type | Individual
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Provider Name | KATHERINE ROSE WIKEN ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/29/2020
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 12303 NE 130TH LANE, CORAL 500
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City | KIRKLAND
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State | WA
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Zip | 98034
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Country | US
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Telephone | 425-899-4280
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Fax | 425-899-4294
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Provider Business Mailing Address
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Address Line | 12303 NE 130TH LN STE 500
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City | KIRKLAND
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State | WA
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Zip | 98034-3059
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Country | US
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Telephone | 425-899-4280
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Fax | 425-899-4294
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61177342
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60756278
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License Number State | WA
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